Most Relevant Information
Provider Data
| NPI Number: | 1003415514 |
| Provider Name: | BRANDON M HUDSON |
| Entity Type: | Individual |
| Taxonomy Code: | 332B00000X |
| Specialty: | Durable Medical Equipment & Medical Supplies |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/26/2020 |
| Last Updated: | 10/26/2020 |
Provider Practice Location
185 N FRANKLIN ST FL 3
CHICAGO
IL
606061932
Practice Location Phone/Fax
| Phone: | 6087904381 |
| Fax: |
Provider Mailing Location
314 PARK LANE CIR
ELDRIDGE
IA
527489675
Provider Mailing Phone/Fax
| Phone: | 5635423669 |
| Fax: |